FEC Form 1 for Intel Corporation Political Action CommitteeForm 1 for Intel Corporation Political Action Committee

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-519105

1. Intel Corporation Political Action Committee

1634 I Street NW #300
Washington, DC 20006
Email: terri.kokinda@intel.com

2. Date: 12/01/2010

3. FEC Committee ID #: C00125641 This committee is a separate segregated fund. Its connected organization is a Corporation
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

Intel Corporation
2200 Mission College Blvd.
Santa Clara, California 95052
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Terri A. Kokinda
1634 I Street N.W. #300
Washington, DC 20006
Title: Custodian
Phone # (202) 626-4381

Treasurer:

Peter Cleveland
1634 I Street NW Ste. 300
Washington, DC 20006
Title: Treasurer
Phone # (202) 626-4381

Designated Agent(s):

Terri A. Kokinda
1634 I Street N.W. #300
Washington, DC 20006
Title: Assistant Treasurer
Phone # (202) 626-4381

Banks or Depositories

Bank of America at Farragut Square
888 17th Street NW
Washington, DC 20006

Signed: Peter Cleveland
Date Signed: 12/01/2010

FORM TEXT

(End FEC FORM 1)

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